Ati musculo skeletal
A nurse is assessing a client who has a casted compound fracture of the femur. Which of the following findings is a manifestation of a fat emboli? A. Altered mental status B. Reduced bowel sounds C. Swelling of the toes distal to the injury D. Pain with passive movement of the foot distal to the injury
A
A nurse is completing discharge teaching for a client who had a wound debridement for osteomyelitis. Which of the following information should the nurse include in the teaching? A. Antibiotic therapy should continue for 3 months B. Relief of pain indicates the infection is eradicated C. Airborne precautions are used during wound care D. Expect paresthesia distal to the wound
A
A nurse is teaching a client how to manage an external fixation device upon discharge. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply) A. "I will clean the pins twice a day" B. "I will use a separate cotton swab for each pin" C. "I will report loosening of the pins to my doctor" D. "I will move my leg by lifting the device in the middle E. "I will report increased redness at the pin sites
A,B,C
A nurse is presenting information to a group of clients at a health fair about measures to reduce the risk of amputation. Which of the follow information should the nurse provide? (SATA) A) Encourage clients who smoke to consider smoking cessation programs B) Encourage clients who have diabetes mellitus to maintain blood glucose within the expected reference range C) Instruct clients to unplug electrical equipment when performing repairs D) Encourage clients who have vascular disease to maintain good foot care E) Advise clients to wait 2 hr after taking pain medication before driving
A,B,C,D
A nurse is caring for a client following a Below-the-elbow amputation. Which of the following actions should the nurse take? (SATA) A) Encourage dependent positioning of the residual limb. B) Inspect for presence and amount of drainage C) Implement shrinkage intervention of the residual limb D) Wrap the residual limb in a circular manner using gauze E) Assess for feelings of body image changes
A,B,C,E
A nurse is planning discharge teaching on home safety for an adult client who has osteoporosis. Which of the following information should the nurse include in the teaching? (SATA) A) Remove throw rugs in walkways B) Use prescribed assistive devices C) Remove clutter from the environment D) Wear soft-bottomed shoes E) Maintain lighting of doorway areas
A,B,C,E
A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty. Which of the following actions by the nurse are appropriate? (SATA) A) Check continuous passive motion device settings B) Palpate dorsal pedal pulses C) Place a pillow behind the knee D) Elevate heels off bed E) Apply heat therapy to incision
A,B,D
A nurse is planning care for a client who will undergo electromyography (EMG). Which of the following actions should the nurse include? (SATA)\ A) Assess for bruising B) Administer aspirin prior to the procedure C) Determine whether the client takes a muscle relaxant D) Instruct the client to flex muscles during needle insertion E) Expect swelling, redness, and tenderness at insertion sites
A,C,D,
A nurse is assessing a client who had an external fixation device applied 2h ago for a fracture of the left tibia and fibula. Which of the following findings is a manifestation of compartment syndrome? (Select all that apply) A. Intense pain when the client's left foot is passively moved B. Capillary refill of 3 sec on the client's left leg C. Hard, swollen muscle in the client's left leg D. Burning and tingling of the client's left foot E. Client report of minimal pain relief following the second dose of opioid medication
A,C,D,E
A nurse is performing health screenings at a health fair. Which of the following clients have a risk factor for osteoporosis? (SATA) A) A 40-year-old client who has been taking prednisone for 4 months. B) A 30-year-old client who jogs 3 miles daily C) A 45-year old client who takes phenytoin for seizures D) A 65-year-old client who has a sedentary lifestyle E) A 70-year-old client who has smoked for 50 years
A,C,D,E
A nurse is planning care for a client who is postoperative following an arthroscopy of the knee. Which of the following actions should the nurse take? (Select all that apply.) A) Assess color and temp. of the extremity B) Apply warm compresses to incision sites C) Place pillows under the extremity D) Administer analgesic medication E) Assess pulse and sensation in the foot
A,C,D,E
A nurse is planning discharge teaching for a client who had a total hip arthroplasty. Which of the following should the nurse include in the teaching? (SATA) A) Clean the incision daily with soap and water. B) Turn the toes inward when sitting or lying C) Sit in a straight-backed armchair D) Bend at the waist when putting on socks E) Use a raised toilet seat
A,C,E
A nurse is providing information to a client who has osteoarthritis of the hip and knee. Which of the following information should the nurse include in the information (Select all that apply) A. Apply heat to joints to alleviate pain B. Ice inflamed joints following activity C. Install an elevated toilet seat D. Take tub baths E. Complete high-energy activities in the morning
A,C,E
A nurse is assessing a client who has arteriosclerosis and is scheduled for a possible right lower extremity amputation. Which of the following are expected findings in the affected extremity? (SATA) A) Skin cool to touch from mid-calf to the toes B) increased sensitivity to fine touch C) palpable pouding pedal pulse D) lack of hair on lower leg E) Blackened areas over several toes
A,D,E
A nurse is assessing a client who has osteoarthritis of the knees and fingers. Which of the following manifestations should the nurse expect to find? (Select all that apply) A. Heberden's nodes B. Swelling of all joints C. Small body frame D. Enlarged joint sizeE. Limp when walking
A,D,E
A nurse is completing a preoperative teaching plan for a client who is scheduled to have a total hip arthroplasty. Which of the following should the nurse include in the teaching plan? (SATA) A) Encourage complete autologous blood donation B) Sit in a low reclining chair C) Instruct the client to roll onto the operative hip D)Use an abductor pillow when turning the client E) Perform isometric exercises
A,D,E
A nurse is providing teaching for a client who has a history of low back injury. Which of the following instructions should the nurse give the client to prevent future problems with low back pain? (Select all that apply) A. Engage in regular exercise including walking. B. Sit for up to 10 hr each day to rest the back. C. Maintain weight within 25% of ideal body weight. D. Create a smoking cessation plan. E. Wear low-heeled shoes.
A,D,E
A nurse in the emergency department is planning care for a client who has a right hip fracture. Which of the following immobilization devices should the nurse anticipate in the plan of care? A. Skeletal traction B. Buck's traction C. Halo traction D. Bryant's traction
B
A nurse is caring for a client who injured her lower back during a fall and describes sharp pain in her back and down her left leg. In which of the following positions should the nurse plan to place the client to attempt to decrease her pain? A. Prone without use of pillows B. Semi-Fowler's with a pillow under the knees C. High-Fowler's with the knees flat on the bed D. Supine with the head flat
B
A nurse is preparing a plan of care to prevent a client from developing flexion contractions following a below-the-knee amputation 24 hr ago. Which of the following actions should the nurse include? A) Limit any type of exercise to the residual limb for the first 48 hr after surgery B) Position the client prone several times each day C) Wrap the residual limb in a figure-eight pattern D) Encourage sitting in a chair during the day
B
A nurse is providing care for a client who had a vertebroplasty of the thoracic spine. Which of the following actions should the nurse take? A) Apply heat to the puncture site B) Place the client in a supine position C) turn the client every 1 hr D) Ambulate the client within the first hour post procedure
B
A nurse is providing dietary teaching about calcium-rich foods to a client who has osteoporosis. Which of the following foods should the nurse include in the instructions? A) White bread B) Kale C) Apples D) Brown rice
B
A nurse is providing information about capsaicin cream to a client who reports continuous knee pain from OA (Osteoarthritis). Which of the following information should the nurse include in the discussion? A. continuous pain relief is provided B. Put on gloves before applying the cream to other parts of the body. C. Leave cream on the hands for 10 min following application D. apply the medication every 2 hours during the day
B
A nurse is admitting an adult client who has suspected osteoporosis. Which of following findings are risk factors for osteoporosis? (SATA) A) History of consuming one glass of wine daily B) Loss in height of 2 in (5.1 cm) C) Body mass index (BMI) of 18 D) Kyphotic curve at upper thoracic spine E) History of lactose intolerance
B,C,D,E
A nurse is assessing a client who is scheduled to undergo a right knee arthroplasty. The nurse should expect which of the following findings? (SATA) A) Skin reddened over the joint B) Pain when bearing weight C) Joint crepitus D) Swelling of the affected joint E) Limited joint motion
B,C,D,E
A nurse is completing preoperative teaching for a client who is to undergo an arthroscopy to repair a shoulder injury. Which of the following statements should the nurse include ? A) avoid damage or moisture to the cast on your arm. B) Inspect your incision daily for indications of infection C) Apply ice packs to the area for the first 24 hours. D) keep your arm in a dependent position E) Perform isometric exercises
B,C,E
A nurse is educating clients at a health fair about dual-energy x-ray absorptiometry (DXA) scans. Which of the following information should the nurse include? (SATA) A) The test requires the use of contrast material B) The hip and spine are the usual areas the device scans C) The scan detects osteoarthritis D) Bone pain can indicate a need for a scan E) Females should have a baseline scan during their 40s.
B,D,E
A nurse is caring for a client who had an above-the-knee amputation. The client reports a sharp, stabbing type of phantom pain. Which of the following actions should the nurse take? A) Remove the initial pressure dressing B) Encourage use of cold therapy C) Question whether the pain is real D) Administer an anti-epileptic medication
D
A nurse is reviewing the health record of a client who is to undergo total joint arthroplasty. The nurse should recognize which of the following findings as a contraindication to this procedure? A) Age 78 years B) History of cancer C) Previous joint replacement D) Bronchitis 2 weeks ago
D
A nurse is teaching a client who is going to have a bone scan. Which of the following statements should the nurse include? A) You will receive an injection of a radioactive isotope when the scanning procedure begins. B) You will be inside a tube-like structure during the procedure C) You will need to take radioactive precautions with your urine for 24 hours after the procedure D) You will have to urinate just before the procedure
D